HomeMy WebLinkAbout2018-4-5 - 239 Graham Road - Food Inspection Report STATE OF CONNECTICUT - FOCUSED FOOD SERVICE INSPECTION REPORT - DEPARTMENT OF PUBLIC HEALTH
Establishment: OUR SAVIOR LUTHERAN CHURCH Inspection Date: 05-Apr-2018 Time: 9:44 am Routine Inspection
ddress/Ci : 0239 GRAHAM ROAD,SOUTH WINDSOR Health Dept: South Windsor Class: 3
Based on an inspection this day,the items marked DNC identify the violations in operation or fa cilities which must be corrected by the date specified on page 2.
RISK FACTOR ITEMS:Listing is not inclusive of all possible debitable items KEY:C[compliant] N/O[not observed] N/A[not applicable]
DNC does not comolvl O Fotherl RTE read -to-eat
1.Approved source,wholesome,nonadulterated 24a. Approved sanitizer available/adequate concentration of C
01a. lApproved shellfish,finfish,meat and poultry USDA approved C sanitizer
01 b. Food cans in good condition(not dented,rusty,bloated, C 24b. Food-contact surfaces and utensils used for potentially C
leaking) hazardous food sanitized at least ever 4 hours
01c. Wholesome,nonadulterated foods,safe C 24c. Adequate dishwasher sanitizer/final rinse temp C
01d. Commercial products(no home grown or canned food) C 24d. Proper sanitizing procedure C
01e. Potentially hazardous foods received at proper temperature N/O 24e. ISanitizing between raw animal origin and ready-to-eat food C
01o. 10ther N/A 24o. 10ther N/A
3.Hazardous Food Meets Temperature Requirements 5.Clean Wiping Cloths
03a. Hot holding greater than or equal to 140E(whole beef or N/O 25a. Cloths and/or sponges in good repair and clean C
pork roasts 130E) 25b. JWiping cloths kept in sanitizer between uses C
03b. Cold holding less than or equal to 45F N/O 25o. 10ther N/A
03c. Proper cooling of food N/O 26.Food-contact Surfaces Clean
03d. Proper re-heating of food N/O 26a_ Food equipment clean,utensils clean,equipment interiors C
03e. Proper internal cooking and consumer advisory posted C clean
03o. Other N/A 26b. Single use gloves changed when soiled C
26c. Food-contact surfaces clean C
M.Maintain Product Temp,Thermometers Provided
Ma. Food thermometer available and accurate C 26o. Other N/A
04b. Proper food thermometer for product C 30. Hot and cold water under pressure,provided as required C
Mc. Thermometers appropriately placed in cooler units C 8.Handwashing Accessories Provided
Mo. Other N/A 38a. Soap/paper towels/drying device available C
7.Food Protection 38b. Dispenser(s)working-soap/paper towels C
07a. Produce washed N/O 38c. Handwash sink(s)clean/waste receptacle at handwash sink. C
07b. Raw meats not stored/prepared near ready-to-eat foods C 380. Other N/A
07c. Food covered properly C 60. Qualified Food Operator C
07d. Adequate splash guards/sneeze guard C 61. Designated Alternate C
07e. No unauthorized personnel C 62. Written documentation of training program C
07f. No pooling of eggs not cooked immediately N/O he following information is not debitable and does not affect your score.
07o. Other N/A KEY:QFO[qualified food operator],DA[designated alternate],
PHF[potentially hazardous food FB foodborne
9.Handling of Food Minimized
09a. No unnecessary handling RTE and/or cooked foods with C
bare hands
09b. Minimize food handling,other than ready-to-eat,with bare C
hands
09c. Adequate utensil(s)for dispensing food/ice C
09o. Other N/A
12.Personnel With Infection Restricted
12a. Food workers have no exposed infected lesions/burns C
12b. Personnel with infection restricted N/A
12c. Communicable disease of worker reported to local health N/A
director
13.Handwashing Facilities,Hands Washed,Clean
13a. Handwash facilities in all food prep/dispensing and C
warewash areas
13b. Handwash facilities in or immediately adjacent to toilet C
rooms
13c. Handwash facilities accessible/convenient to use C
13d. Personnel hands washed,clean/Proper handwash C
procedure
13e. Handwashing at appropriate times C
13o. Other N/A
15.Good Hygienic Practices
15a. No eating/No smoking while working C
15b. Wounds covered adequately C
15c. Proper sink used for handwashing C
15o. Other N/A
4.Sanitization Rinse(hot water-chemical)
Inspection#:540 Note:This report is a two page form(total of 62 debitable items) Page 1 of 4
STATE OF CONNECTICUT-DEPARTMENT OF PUBLIC HEALTH-410 CAPITOL AVENUE-MS#51 FDP-HARTFORD,CT 06134
FOCUSED FOOD SERVICE INSPECTION REPORT
Local Health Dept: South Windsor Address/City: 1540 Sullivan Ave.
rddre
lishment: OUR SAVIOR LUTHERAN CHURCH Inspection Date: 05-Apr-2018
ss: 0239 GRAHAM ROAD Owner or Operator: H. Leitzke
ADDITIONAL FOUR POINT ITEMS OTHER ITEMS
KEY:DNC[DOES NOT COMPLY] KEY:DNC[DOES NOT COMPLY]
06.Foods Not Re-served 02. Sources of food-original container,properly labeled C
-Unwrapped foods not re-served C 05- Potentially hazardous food properly thawed N/O
-Potentially hazardous foods not re-served
10. Food dispensing utensils properly stored C
11.Toxic Chemicals
-Toxic chemicals stored properly,labeled properly,used properly C 14. Food worker:Clean outer clothes,effective hair restraints C
Sanitizer concentration not to exceed maximum permitted 16- Food-contact surfaces designed,constructed,maintained, C
No unnecessary toxics on the premises installed,located
Pesticides/rodenticides properly dispensed
29.Water Source Adequate,Safe 17- Nonfood-contact surfaces designed,constructed, C
maintained,installed,located
-Well/Well head protected from contamination C
Water quality in compliance 18- Single service articles,storage,dispensing C
Monitoring in compliance 19- No reuse of single service article C
1.Sewage Disposal Approved
7 Dishwashing facilities approved design,adequately C
Sewage disposal operating as required C
constructed,maintained,installed,located
34.No cross connections,back siphonage,backflow
Proper type/installation/backflow prevention device/air gap for: C 21 Equipment and utensils-preflushed,scraped,soaked and C
food equipment,soda system carbonator,chemical dispensers,hose racked
connections,beverage dispensers,ice and dish machines,toilet 22- Equipment and utensils-wash water clean,proper C
tanks temperature
Proper drain for-food equipment,dish and ice machines 23- Equipment and utensils-accurate thermometers provided, C
5.Toilet Facilities
dish basket,if used
Toilet facilities adequate,convenient,accessible,designed, C
27- Nonfood-contact surfaces of utensils and equipment clean C
properly installed
28- Equipment/utensils,storage,handling C
32. Proper disposal of waste water C
33. Plumbing location,installation,maintenance C
36. Toilet rooms enclosed with self-closing door C
37- Proper toilet fixtures provided,good repair,clean C
39- Approved garbage/rubbish containers,adequate number, C
covered,rodent proof,clean
40- Garbage/rubbish storage area/rooms,enclosures-properly C
constructed,clean
41- Garbage/rubbish disposed of in an approved manner,at C
approved frequency
42- Vermin Control:No insects/rodents present C
43- Outer openings protected against entrance of insects/rodents C
Inspection#:540 Note:This report is a two page form(total of 62 debitable items) Page 2 of 4
RAN T INSPECTION REPORT STATE OF CONNECTICUT
FOOD SERVICE ESTABLISHMENTS DEPARTMENT OF PUBLIC HEALTH
CONTINUATION SHEET
Name of Establishment Town Date of Inspection
OUR SAVIOR LUTHERAN CHURCH SOUTH WINDSOR 05-Apr-2018
INSPECTION REMARKS 540
FORM#
OTHER ITEMS Inspector: Melissa Pierce[1043]
KEY:DNC[DOES NOT COMPLY] Name,Signature, 860-337-6182
Phone Number
44. Floors:Floor covering installed,constructed as required, 1-DNC
good repair,clean
45. Floors graded,drained as required C
46. Floor,wall juncture covered C
47- Mats removable,good repair,clean C
48. Exterior walking,driving surfaces,good repair,clean C
49. Walls,ceilings attached,equipment properly constructed, C
good repair,clean.Wall and ceiling surfaces as required
50. Dustless cleaning methods used,cleaning equipment C
properly stored
51. Adequate lighting provided as required C
52. Room free of steam,smoke odors C
53. Rooms and equipment hoods,ducts,vented as required C
54. Rooms adequate,clean,adequate lockers provided, C
facilities clean
55. Establishment and premises free of litter,no insect/rodent C
harborage,no unnecessary articles
56. Complete separation from living/sleeping quarters and C
laundry
57. Clean/soiled linens stored properly C
58. No live birds,turtles,or other animals(except guide dogs) C
59. Seats 75 or more:Nonsmoking area provided,sign(s)posted 771
at entrance(s),smoking area indicated by sign(s)
Routine Inspection
DEMERIT SCORE
4' '3' '2' '1' Total Rating
0 0 0 1 1 99
Date Corrections Due: 19-Apr-2018
Person in Charge: H.leitzke
Name,Title,
Signature
Inspection#:540 Note:This report is a two page form(total of 62 debitable items) Page 3 of 4
RAN T INSPECTION REPORT STATE OF CONNECTICUT
FOOD SERVICE ESTABLISHMENTS DEPARTMENT OF PUBLIC HEALTH
CONTINUATION SHEET
Name of Establishment Town Date of Inspection
OUR SAVIOR LUTHERAN CHURCH SOUTH WINDSOR 05-Apr-2018
INSPECTION REMARKS 540
44. Dirty floors—kitchen/walk-in
Behind equipment
Hot water @ hand sink gt; 11 Of-ok
No cooking/prep at time of inspection/kitchen not in use
Inspection#:540 Note:This report is a two page form(total of 62 debitable items) Page 4 of 4